Was It My Fault? Effects of Counterfactual Mutation Focus and Self‐Presentation Strategy1

A recent perspective proposes that counterfactual thinking mutates controllable events that could have prevented a specific outcome, and so provides knowledge that can be used to prevent similar outcomes in the future. This implies that counterfactual thinking does not necessarily influence causal reasoning, although they may be associated in some circumstances. Results of 2 studies reported here show that, for serious outcomes where actions of the self are antecedents and different self‐actions might have prevented the outcome, there was an associated increase in self‐blame. Findings from these studies also suggest that whether self‐mutations are reflected in public expressions of blame will depend on whether the context favors self‐serving self‐presentation strategies, or mitigating strategies incorporating the face concerns of others.     

Text or talk? Social anxiety, loneliness, and divergent preferences for cell phone use.

This paper investigates whether social anxiety and loneliness lead to contrasting beliefs and preferences among cell phone users towards texting and talking on their cell phones. Three hypotheses are examined: (1) that social anxiety and loneliness are differentially associated with generalized preferences either for texting or for talking on the cell phone, (2) that these preferences are linked to contrasting beliefs concerning the social functionality of the short message service (SMS), and (3) that these divergent beliefs mediate the effects of social anxiety and loneliness on cell phone users' generalized preferences for texting or talking. Results from an Internet questionnaire (N=158) showed that, whilst lonely participants preferred making voice calls and rated texting as a less intimate method of contact, anxious participants preferred to text, and rated it a superior medium for expressive and intimate contact. These divergent beliefs accounted for 36% and 16% of the variance in preference for texting and voice calls, respectively, and significantly attenuated the influence of loneliness and social anxiety when they were added to the regression equations for these measures. Results are discussed in terms of the hyperpersonal possibilities of mobile communications technologies.     

Postpartum mood disorders: Results of an online survey

Purpose: Postpartum mood disorders (PMDs), the distressing mental and emotional symptoms experienced by women after childbirth, are just now receiving the attention they warrant. Given the serious and sometimes life‐threatening nature of PMDs, we used a qualitative research design to examine more closely the nature of symptoms experienced and the effective strategies women used to cope with PMD. Participants: The respondents were 252 members of PMD and breast‐feeding (La Leche League) support groups throughout the United States. Method: Participants responded anonymously to open‐ended questions in an online survey. The data were reviewed by the research team to determine common themes and prevailing issues. Results: Participants reported myriad different symptoms and used a host of various strategies to alleviate problematic thoughts, feelings, and behaviours following childbirth. Postpartum symptoms affected participants’ plans to have future children. For some women, symptoms became more intense during subsequent births. Despite the problematic nature of PMD, more than half of the participants reported receiving little or no information from healthcare providers about PMDs. Implications for counsellors and other healthcare providers are discussed in detail.     

Predicting short-term outcome in well-being following suicidal behaviour: the conjoint effects of social perfectionism and positive future thinking

This study investigated an integrative, psychological model of suicidality involving the relationship between perfectionism and future thinking to predict short-term outcome in well-being following a suicidal episode. Two hundred and sixty-seven adults hospitalized following a self-harm episode completed a range of clinical and psychological measures in hospital and were followed up approximately two months after discharge. Hierarchical regression analyses confirmed that, among the suicidal self-harmers who had a history of repetitive self-harm (n=65), outcome among low social perfectionists changed as a function of positive future thinking such that outcome was better for those high on positive thoughts compared with those low on positive future thoughts. There was no such positive change in outcome among the high social perfectionists. There were also no significant interactive effects evident among the non-repetitive self-harmers (n=61). These findings extend recent research to suggest that socially prescribed perfectionism and positive future thinking (but not negative future thinking) are implicated in outcome following repetitive suicidality. Implications for theory and clinical practice are discussed.     

The contribution of the thumb to reaching movements

Transport of the hand towards an object and the formation of grasp are logically separable components of reaching. It has been suggested that, although the two components must be temporally co-ordinated, their spatial parameters are under the control of independent visuo-motor channels. A case study of reaching by a proficient user of a manually-operated artificial hand is presented. A pattern of natural hand usage was observed in which the index finger rather than the thumb was responsible for reduction of grasp aperture as the hand approached an object. The same pattern of usage was also observed in the artificial hand even though the mechanics of that hand make it no easier to move the finger than the thumb. This suggests that the relative stability of the thumb in the natural hand is determined, not simply by anatomy, but by a role in guiding the transport component of reaching. At least part of the spatial aspect of grasp formation is closely related to the transport component of reaching and this is evidence against theories postulating two independent visuo-motor channels controlling the spatial parameters of grasp and transport.     

Franklin Delano Roosevelt: A Famous Patient

Franklin Delano Roosevelt is arguably one of the greatest of American Presidents. His encounter with the polio that crippled him at an early age and its transformative impact upon him are here discussed with particular reference to his relationship with his physician, Dr. George Draper. This transformation liberated energy in Roosevelt to lead and to show empathy for others in ways that both challenged the political and social status quo in the USA as well as helped save the world from the threat of Fascism in World War II. This essay seeks to demonstrate how an investigation of the life and struggles of this famous patient is one avenue for relating the study of the humanities to medical education. An earlier version of this paper was presented as the Heberden Lecture in the History of Medicine at the New York Academy of Medicine in 2012.     

Immigrant Skill Utilization: Trends and Policy Issues

Since 1996, the problem of underutilization of immigrant skills in Canada has grown significantly. University-educated immigrants are more numerous, and census analysis shows their access to skilled occupations in the professions and management decline between 1996 and 2006. The decline in access since 2001 coincided with increased program efforts, including foreign credential assessment, bridge training, and others. Policy differences among provinces, or in occupational groups targeted, also have had little impact on aggregate trends. The value (in today’s dollars) of work lost to the Canadian economy grew from about $4.80 billion annually in 1996 to about $11.37 billion in 2006.